Mircea CN et al. – Concomitant NovaSure radiofrequency globalendometrial ablation (NS-GEA)and Essure hysteroscopic sterilization (EHS) is a safe and efficient method of providing treatment for abnormal uterine bleeding and permanent female sterilization. The combined procedure can be safely moved from the operating theatre to an outpatient setting, completely independent of anaesthesia and day surgery services. Suction curettage should be considered before EHS. A small proportion of patients may develop post–procedureintrauterine synechiae that impaired the ability to document tubal occlusion by hysterosalpingogram.

The procedure complications were intrauterine synechiae (5.7%), endometritis (2.3%), pain that required an emergency room visit (2.3%), and migration of micro-inserts with or without perforation (4.6%).